Pondicherry Journal of Nursing

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2019 | January-March | Volume 12 | Issue 1

EDITORIAL

Nursing Sciences: An Ever-expanding Domain in Health Profession

[Year:2019] [Month:January-March] [Volume:12] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/pjn-12-1-iv  |  Open Access |  How to cite  | 

Original Article

Darmanadane Nanthini, Gunasekar Nivetha, Subbarayan Rajeswari

A Comparative Study to Assess the Knowledge on Code Blue Protocol among the Nurses of General Ward and Critical Care Unit at Mahatma Gandhi Medical College and Research Institute, Puducherry, India

[Year:2019] [Month:January-March] [Volume:12] [Number:1] [Pages:4] [Pages No:1 - 4]

Keywords: Cardiac arrest, Code blue, Critical care unit, General ward and staff nurses

PDF  |  DOI: 10.5005/jp-journals-10084-12106  |  Open Access |  How to cite  | 

Abstract

Background: Code blue is generally used to indicate a patient requiring resuscitation or in need of immediate medical attention, most often as the result of a respiratory arrest or cardiac arrest. Every hospital as a part of its plans, sets a policy to determine which unit provides personnel or code blue coverage. It is very essential for every staff nurse to have an adequate knowledge regarding the code blue protocol to reduce the mortality rate especially in critical care units. A comparative study was conducted to assess the knowledge on code blue protocol between general ward and critical unit staff nurses at Mahatma Gandhi Medical College and Research Institute. Materials and methods: Descriptive research design was used to conduct this study. Sixty nurses (30 general ward nurses and 30 critical care unit nurses) selected by purposive sampling technique, from the general ward and critical care unit includes medical ward, surgical ward, orthopaedic ward and gynaecological ward at Mahatma Gandhi Medical College and Research Institute, Puducherry. The data collected by semi structured questionnaire to assess the knowledge on code blue protocol. Results: In critical care unit nurses, knowledge mean score is 19.30 and the standard deviation is 3.36. In general ward nurses, knowledge means the score is 15.23 and standard deviation is 2.19. The findings show that statistically highly significant (p ≤ 0.000). Conclusion: The critical care nurses are having more knowledge about code blue than general ward nurses. Code blue call is the life threatening scenario where it should be known to every nurse who was working in both critical care units and general wards.

Original Article

V Subakeerthi, E Finny Moses

Effectiveness of Rhythmic Breathing Exercise on Postoperative Pain among Patients Undergone Major Abdominal Surgery in MGMCRI at Puducherry, India

[Year:2019] [Month:January-March] [Volume:12] [Number:1] [Pages:3] [Pages No:5 - 7]

Keywords: Effectiveness, Patients undergone major abdominal surgery, Postoperative pain, Rhythmic breathing exercise

PDF  |  DOI: 10.5005/jp-journals-10084-12107  |  Open Access |  How to cite  | 

Abstract

Background and objective: Management of postoperative pain is one of the important concerns of medical team in order to promote trust, comfort and reduce pain. Hence this study was undertaken to assess the effectiveness of rhythmic breathing exercise on postoperative pain among patients undergone major abdominal surgery. Materials and methods: The study was a quantitative research approach and pre experimental (one group pre-test and post-test) design, was adopted. Thirty patients who had undergone major abdominal surgery were selected from MGMCRI at Puducherry by using purposive sampling technique. Results: The pre-test and post-test mean value of pain level was 7.83 with standard deviation of 0.95 and 5.70 with standard deviation 0.84, respectively. The obtained p value which was highly significant at p < 0.001. Conclusion: Hence the result showed that rhythmic breathing exercise was highly effective in reducing postoperative pain among patients undergone major abdominal surgery.

Original Article

Priyalatha Ganesh, Rajeswari Subbarayan

Assessment of Knowledge on Baby-friendly Hospital Initiative among Staff Nurses in MCH Unit at MGMCRI, Puducherry, India

[Year:2019] [Month:January-March] [Volume:12] [Number:1] [Pages:3] [Pages No:8 - 10]

Keywords: BHFI policy, Knowledge, Staff nurse

PDF  |  DOI: 10.5005/jp-journals-10084-12108  |  Open Access |  How to cite  | 

Abstract

Background: Breast milk is the perfect food for a normal neonate. It is the best gift a mother can give to her baby. It contains all the nutrients for the normal growth and development for the baby from the time of birth to the first 6 months of life. It is necessary to timely evaluate knowledge and to bring about positive attitude in the staffs regarding the implementation of the baby-friendly hospital initiative policy. To assess the knowledge on baby-friendly hospital initiative policy (BFHI) among staff nurses in the MCH unit at MGMCRI&H, Puducherry. Materials and methods: Quantitative research approach, non-experimental descriptive design. The population for the study consisted of 60 staff nurses from the maternal and childcare unit of MGMCRI, Puducherry. The data were collected through a structured questionnaire to assess the knowledge of staff nurses on the BFHI. The data were analyzed both descriptive (mean, frequency, percentage and standard deviation) and inferential statistics (Kruskal–Wallis) Results: Discussion on the findings was arranged based on the objectives of the study. The present study reveals that, among 60 staff nurses, 48 (80%) of them had moderately adequate knowledge, 9 (15%) of them had adequate knowledge and 3 (5%) of them had inadequate knowledge regarding BFHI policy. Conclusion: The study reveals that most of the staff nurses had moderately adequate knowledge of the BFHI policy.

Original Article

Geetha Chockalingam

Effectiveness of Educational Program on Knowledge Regarding Safe Handling of Cancer Drugs among Staff Nurses

[Year:2019] [Month:January-March] [Volume:12] [Number:1] [Pages:2] [Pages No:11 - 12]

Keywords: Cancer, Educational program, Safe handling of cancer drugs

PDF  |  DOI: 10.5005/jp-journals-10084-12109  |  Open Access |  How to cite  | 

Abstract

Background and objectives: Cancer is a group of disease which comprises of more than 200 diseases. They are considered as a disease of the aged; although the majority of cases that is about (77%) cases are diagnosed to have cancer at the age of 55 years. The study aimed to assess the effectiveness of educational program on knowledge regarding safe handling of cancer drugs among staff nurses. Materials and methods: A quantitative research approach is adopted with the pre-experimental (one group pre-test post-test only) research design and convenient sampling technique was used to select the sample and structured questionnaire was used to collect the data among 60 staff nurses working in Mahatma Gandhi Medical College Research Institute, Puducherry. The pre-test was conducted by using structured questionnaire and the educational program (power point) was implemented to staff nurses regarding safe handling of cancer drugs. The post-test was conducted after 7 days of pre-test. Results: The results shown that the effectiveness of educational program on knowledge regarding safe handling of cancer drugs between the pre-test and post-test, the p value was highly significant at p < 0.001 level. Conclusion: It was implied that educational program regarding safe handling of cancer drugs was effective.

CASE REPORT

Prabavathy Subramanian, Jayasri Jayamoorthy

Opioid-dependence Syndrome

[Year:2019] [Month:January-March] [Volume:12] [Number:1] [Pages:2] [Pages No:13 - 14]

Keywords: Opioids, Opioids dependence syndrome, Psychological therapy,Co-occurring mental disorders, Detoxification therapy

PDF  |  DOI: 10.5005/jp-journals-10084-12110  |  Open Access |  How to cite  | 

Abstract

Opioids is a natural and synthetic painkillers derived from the poppy plant used for medication. Opioids, are called narcotics, a type of drug. The commonly used opioids are morphine, codeine, heroin, opium, oxymorphone, tramadol used as a strong prescription for relieving pain. Opioids dependence syndrome needs the compulsive and uncontrollable use of opioid drugs causing adverse consequences. Dependency occurs when the body adapts to the presence of the drug, causing withdrawal symptoms when drug use is reduced or discontinued. The prevalence of opiod use in India was found to be 0.7% of the general population and 22.3% were found to be dependent on opiods. The patient is presented with elated or euphoric state, intermittent nodding off, depression, drowsiness, lethargy even loss of consciousness. The co-occurring mental disorders include bipolar disorder, anxiety disorders, depressive disorders, schizophrenia, conduct disorder, personality disorder. The mainstay of treatment includes detoxification therapy and psychological therapy.

CASE REPORT

Poongodi V, M Annie Annal, S Lavanya

Mastitis with Mondor's Disease

[Year:2019] [Month:January-March] [Volume:12] [Number:1] [Pages:3] [Pages No:15 - 17]

Keywords: Mastitis, Mondor\'s disease, Puerperium, Thrombophlebitis

PDF  |  DOI: 10.5005/jp-journals-10084-12111  |  Open Access |  How to cite  | 

Abstract

Breast complications are not very common during pregnancy and puerperium. Mondor\'s disease of the breast is a rare benign breast condition.1 It is an inflammation of the superficial veins in the anterior chest wall and breasts. It is caused by blood clotting in these veins.2 Mondor\'s disease is a very rare condition. It usually occurs in individuals who are between 30 and 60 years of age.3 The incidence of mastitis is 2–5% in lactating women. The common organisms involved are Staphylococcus aureus, Staphylococcus epidermidis and Viridans streptococci. Risk factors for mastitis are poor nursing, maternal fatigue and cracked nipple.4 Greater veins are affected by thrombophlebitis. It can advance into the deep venous system. It leads to pulmonary embolism.5

REVIEW ARTICLE

D Chandra

Women Issues in India

[Year:2019] [Month:January-March] [Volume:12] [Number:1] [Pages:3] [Pages No:18 - 20]

Keywords: Dowry, Sexual violence, Women issues,Domestic violence

PDF  |  DOI: 10.5005/jp-journals-10084-12101  |  Open Access |  How to cite  | 

Abstract

Women status in India has many great changes over the past few millennia. Women in India in the past faced many challenging problems i.e. abortion, dowry, restriction on widow remarriage, gender inequality, neglected during childhood, sexual harassment. During ancient time, many reformers promoted equal status of men and women in India. So, we need to do justice that starts from home. Women upliftment should start at the grassroot level by protecting women from abuses and harassment.

REVIEW ARTICLE

B Anitha

Container Baby Syndrome

[Year:2019] [Month:January-March] [Volume:12] [Number:1] [Pages:4] [Pages No:21 - 24]

Keywords: Bucket baby syndrome, Container baby syndrome, Developmental delay

PDF  |  DOI: 10.5005/jp-journals-10084-12103  |  Open Access |  How to cite  | 

Abstract

In recent years, there is a rapid increasing incidence of developmental delays in normal infants. These developmental delays may be caused by modern child rearing practices. Nowaday\'s newborn babies or young infants are placed in a container or carriers in terms of stroller, baby supportive devices, etc., for a long period of time which may cause less opportunity for the child to lie on their tummy leading to container baby syndrome (CBS). CBS is otherwise known as bucket baby syndrome. This condition may impact normal growth and development of a newborn which leads to problems in normal physical, cognitive and social interactive behaviors and physical deformities. Thus it is very fundamental requisite for the family members, caregivers and healthcare personnel to recognize the symptoms of CBS to alleviate the difficulties and restore the normal movement and ensure the optimal growth and development of the child.

REVIEW ARTICLE

E Finny Moses

A Hybrid Closed-loop Insulin Delivery System for the Treatment of Type I Diabetes

[Year:2019] [Month:January-March] [Volume:12] [Number:1] [Pages:3] [Pages No:25 - 27]

Keywords: Continuous glucose monitor, Hybrid closed-loop insulin, Synthetic pancreas,AI in blood sugar control, Artificial pancreas

PDF  |  DOI: 10.5005/jp-journals-10084-12104  |  Open Access |  How to cite  | 

Abstract

The hybrid closed-loop insulin delivery system serves as the world\'s first synthetic (artificial) pancreas. The hybrid closed-loop insulin delivery system will help the type I diabetes patients in controlling their insulin quantity in the body. This was approved in late 2017 by the Food and Drug Administration (FDA), which owns a neotechnology that enables to have a direct link between the device and insulin pump to even out blood glucose at an exceptional level. This technology switches the “open loop” system that needs patients to access their own information to calculate how much insulin has to be injected. Many type I diabetes mellitus (DM) patients demand this technology in 2019. Many experts also predict that a similar technology will hit community soon for the type II diabetes patients.

REVIEW ARTICLE

Dhivagar Subbarayan, Santhiya Veerappana

Blood Flow Restriction Rehabilitation

[Year:2019] [Month:January-March] [Volume:12] [Number:1] [Pages:3] [Pages No:28 - 30]

Keywords: Blood flow restriction training, Occlusion training, Rehabilitation

PDF  |  DOI: 10.5005/jp-journals-10084-12105  |  Open Access |  How to cite  | 

Abstract

Blood flow restriction (BFR) training is an aerobic exercise is performed by using a tourniquet, which is applied to the proximal aspect of the muscle. In this unique method, limb blood flow is restricted by using a cuff throughout the contraction cycle and rest period. It is highly effective shown by partial restriction of arterial inflow to muscle, but it restricts venous outflow from the muscle. It produces less load nature and strengthening capacity of muscles by using BFR training. It can provide an effective clinical rehabilitation stimulus without the high levels of stress and circulatory system risk associated with heavy-load training. BRF can reduce the loss of muscle mass and increase the bony healing process during the early immobilization of patients. It improves both muscle size and strengthening the muscles without stress of heavy lifts on soft tissue healing. Blood flow restriction rehabilitation is a safest and effective method to improve the muscle strength among patients who are unable to perform high-resistance exercise.

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